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Questions 149

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Question 1 of 5

A nurse creates a care plan for a client diagnosed with a cerebellar brain tumor. The correct nursing diagnosis for this client is 'Client at risk for injury related to

Correct Answer: A

Rationale: Cerebellar tumors impair coordination and balance, increasing fall risk, making 'impaired balance' the most relevant diagnosis.

Question 2 of 5

The nurse is part of an interdisciplinary team in a rehabilitation unit. Which of the following statements by a client is most important to be communicated to the social worker on the team?

Correct Answer: A

Rationale: Inability to afford help (
A) is a social issue requiring the social worker's intervention for resources. Other concerns (B, C,
D) are addressed by therapy or nursing.

Question 3 of 5

The nurse is assessing a client with suspected dehydration. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: dry mucous membranes and tented skin are signs of dehydration due to fluid loss

Question 4 of 5

Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives?

Correct Answer: B

Rationale: Antibiotics can reduce the effectiveness of oral contraceptives, necessitating an alternate method.

Question 5 of 5

The nurse is teaching the parents of a client with iron deficiency anemia about administering a liquid oral iron supplement. Which statement by the parents indicates that teaching was successful?

Correct Answer: A

Rationale: Using a straw minimizes tooth staining from liquid iron. Iron is best absorbed on an empty stomach, and milk can decrease absorption.

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